# TRINITY HEALTH - MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Trinity Health-Michigan
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881130714
- **Authorized official:** MICHAEL GUSHO (CFO)
- **Authorized official phone:** (734) 398-0642

## Contact information

- **Practice address:** 7575 GRAND RIVER RD RM 212, BRIGHTON, MI 48114-9309
- **Practice address phone:** (810) 844-7645
- **Practice address fax:** (810) 844-7222
- **Mailing address:** 7575 GRAND RIVER RD, ROOM 212, BRIGHTON, MI 48114-9309
- **Mailing address phone:** (810) 844-7645
- **Mailing address fax:** (810) 844-7222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | 5301009435 | MI | Yes |

## Other

- **Enumeration date:** 01/17/2017
- **Last updated:** 01/17/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2166861 | PK | — |